General Psychiatric Mental Health Flashcards by Eugene Tombo

The ability to bounce back from adversity.

Resilience

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What are the 5 Axis?

Axis I: Clinical DisordersAxis II: Persoanlity DisordersAxis III: General Medical ConditionsAxis IV: Psychosocial/Enviromental ProblemsAxis V: Global Assessment of Functioning

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What are the & rights of patients?

Right patient2. Right medication3. Right Dose4. Right route5. Right time6. Right to refuse7. Right documentation

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What are the neurotransmitters and what are the conditions they are related to?

Acetylcholine = Alzheimer’s Disease & ParkinsonismDopamine = Schizophrenia & ParkinsonismGABA = Anxiety DisordersNorepinephrine = Mania & DepressionSerotonin = Mania & Depression

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Atypical Antipsychotic

Treats + & - symptomsRisperdone (Risperdal) 16 mgOlanzapine (Zyprexa) 30 - 45 mgAripiprazole (Abilify) 30 mgQuetiapine (Seroquel) 1000 - 1200 mgZiprasadone (Geodone) 240 mgLast option: Clozapine (clozaril)

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what are positive symptoms?

Hallucinations, Delusions

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What are negative symptoms

Alogia, Anhedonia, Avolition

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Typical

Older drugsOnly treats + symptomsChlorpromazine (Thorazine)Thioridazine (Mellaril)Fluphenazine (Prolixin)Trifluoperazine (Stelazine)Haloperadol (Haldol)Thiothixene (Navane)Dibenzoxazepine (Loxapine)

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Anticholinergic

Benztropine (Cogentin)Trihexyphenidyl (Artane)Diphenhydramine (Benadryl)Dry mouth, urinary retention, urinariy hesitation, blurred vision

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NMS

Neuroleptic Malignant SyndromeHyperthermiaAltered LOC

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EPS

Extrapyramidal Side EffectsAcute dystonic reactionsTardive dyskinesiatx: Dantrolene & Bromocriptine

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Line of Defense for Mood Disorders

1st. SSRI :Selective serotonin Reuptake Inhibitors2nd. TCA: Tricyclic and Tetracyclic Antidepressants3rd. MAOI: Monamine Oxidase Inhibitors

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SSRI :Selective serotonin Reuptake Inhibitors

fewest side effectsFluoxetine (Prozac) 80 mgFluvoxamine (Luvox)Paroxetine (Paxil) 40 - 60 mgSertraline (Zoloft) 200 mgCitalopram (Celexa) 40 -60 mgLexapro (Ecelexa) 40 mg

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TCAs + antidote

Weight gain, EDantidote: Physostigmine (Antrilium)Amitriptylinee (Elavil)Amoxapine (Asendin)Desipramine (Norpramin)Doxepin (Sinequan)Imipramine (Trofanil)Maprotiline (Ludiomil)Nortriptyline (Aventyl, Pamelor)

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MAOI

Avoid Tyramine foodsPhenelyzine (Nardil)Tranylcypromine (Parnate)Moclobemide (Manerix)

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Novelty Antidepressants

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1st line for DepressionBupropion (Welbutrin) 450 mgMirtazapine (Remeron) Insomnia Less is more 45 mgTrazodone (Desyrel) - Sleep Medication 600 - 800 mgVenlafaxazine (Effexor)

Antimanic (Mood Stableizers

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Lithium carbonate (Lithium) 0.6 - 1.2 mEq/LCarbamazepine (Tegrotol) 8 - 12 ug/mlValporic Acid (Depokote) 50 - 100 ug/mlOthers:Olanzapine (Zyprexa) 15 -45 mgAripiprazole (Abilify)

Benzodiazepine

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Lorazepam (Ativan)Clonazepam (Klonopin)Diazepam (Valium)Alprazolam (Xanax)Chlordiazepoxide (Librium)

Alzheimers Medication

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Tacrine (Cognex)Donepezil (Aricept)Galantamin (Reminyl)severe:Menmantine (Namenda)

Hold for 72 hours and comes with _______

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5150, Advisement

14 days and comes with________

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5250; probable cause hearing